A 65-year-old man presented to the emergency room with complaints of fever, ocular pain, and a painful rash that developed on his face over the last 2 days. The patient also noted that he was experiencing a tingling sensation along his forehead and eyebrow. The patient had not experienced recent ocular trauma, did not wear contact lenses, and was not on any medications. On physical examination, the patient had a temperature of 101.4°F (38.6°C) and a vesicular lesion over his eyelids and temple that had begun to crust slightly. The patient had a history of organ transplantation (renal) 11 years prior. He was seronegative for HSV. On eye examination, there was unilateral periorbital edema of the right eye and a corneal dendritic ulcer.
What’s the diagnosis?
- Herpes simplex virus keratitis
- Herpes zoster ophthalmicus
- Necrotizing fasciitis
- Recurrent corneal erosion
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